Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK O. CLARK, M.D.
ActiveJACK O. CLARK, M.D. is a Internal Medicine healthcare provider located in REXBURG, Idaho. NPI 1902992837 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · REXBURG, ID
Registration Details
- NPI Number
- 1902992837
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 5, 2006 (19.83323819425 yrs)
- Last Updated
- Apr 13, 2020
- License
-
M-7743 (ID)
Practice Information
- Address
-
450 E MAIN STREXBURG, ID, 83440Browse ID providers · Browse ZIP 83440
- Phone
- 2083596419
- Fax
- 2083563111
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in REXBURG, ID
| Name | Credential | NPI |
|---|---|---|
| RODNEY BATES JR. | DO | 1700822491 |
| MR. CRAIG D HEINER | MD | 1205918620 |
| DR. STEVEN HANSEN LOFGRAN | MD | 1154524734 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.